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Avera Health Plans - Utilization Review Rn Resume Example

Mia Cook
Professional Summary

Dedicated Registered Nurse with  16 years of experience combining management and customer service expertise in hospital, clinic and  health insurance . Looking for a position as Utilization Review Nurse in a fast growing company.

  • English Language
  • Coordination
  • Critical Thinking
  • Reading Comprehension
  • Judgment and Decision Making
  • Computers and Electronics
Utilization Review RN Jan 2010Present Avera Health Plans Sioux Falls, SD
  • Perform Prior Authorizations for Admissions, procedures, imaging and durable medical equipment.
  • Collaborate with chief medical office and case managers to protect the members from unnecessary procedures and to make sure they are utilizing the providers that are within their network.
RN Sep 2007Nov 2009 Sanford Heart Partners Sioux Falls, SD
  • Maintain accurate, detailed reports and records.
  • Record patients' medical information and vital signs.
  • Assist MD in hospital rounds and outreach clinics.
  • Report to patient test results and lab values.
RN Oct 1997Sep 2007 Avera McKennan Hospital Sioux Falls, SD
  • Monitor, record, and report symptoms or changes in patients' conditions.
  • Maintain accurate, detailed reports and records.
  • Record patients' medical information and vital signs.
  • Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition.
  • Inform physician of patient's condition during admission..
  • Direct or supervise less-skilled nursing or health care personnel or supervise a particular unit.
  • Consult and coordinate with health care team members to assess, plan, implement, or evaluate patient care plans.
  • Monitor all aspects of patient care, including diet and physical activity.
  • Prepare patients for and assist with examinations or treatments.
  • Perform administrative or managerial functions, such as taking responsibility for a unit's staff..
  • Provide or arrange for training or instruction of auxiliary personnel or students.
Associates : Nursing May 1997 University of South Dakota Vermillion, SD
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Resume Details

This is a real resume for a Utilization Review RN in Sioux Falls, South Dakota with experience working for such companies as Avera Health Plans, Sanford Heart Partners, Avera Mckennan Hospital. This is one of the hundreds of Utilization Review RN resumes available on our site for free. Use these resumes as templates to get help creating the best Utilization Review RN resume.

Previous Companies:

  • Avera Health Plans
  • Sanford Heart Partners
  • Avera McKennan Hospital

Previous Job Positions:

  • Utilization Review RN
  • RN


  • University of South Dakota

Level of Education:

  • Associates

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